HomeMy WebLinkAboutTouchVision, Inc. 3a' AGR2EEMRGNT TERBMINATI ®N G 2007 It
Please complete this form when the attached agreement is no longer in effect.
Return form to the Deputy Clerk of the Council (M -30). Call 647 -6520y q, ,
have any questions. '17 An t
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The agreement with —re'v C'A VI -I Ali I N6 4
was completed on i — % and final payment has been made. `T
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206a - 142,
i11Y1�I1dYhCYli Department: /'baby LVO K.
IN 2003 ' 1�2 - OI Signature:
Date: 07,-
City of Santa Ana
Clerk of the Council
INSURANCE NOT ON FILE
WORK MAY NOT PROCEED
CLERK OF COUNCIL.
DATE: FIRST AMENDMENT TO
CONSULTANT AGREEMENT
THIS FIRST AMENDMENT TO CONSULTANT AGREEMENT is entered into
on June 24, 2004, by and between TouchVision, Inc., a California corporation
( "Consultant ") and the City of Santa Ana, a charter city and municipal corporation of the
State of California ( "City ").
Recitals:
A. The parties entered into Agreement #N- 2003 -142, dated December 10, 2003
(hereinafter "said Agreement ") by which Consultant has provided Traffic Information
Kiosk maintenance.
B. In accordance with the terms and conditions of said Agreement, the parties wish to
extend said Agreement for an additional one -year period.
Wherefore, in consideration of the covenants contained in said Agreement, and subject
to all the terms and conditions of said Agreement, except those amended in this First
Amendment to Consultant Agreement, the parties agree as follows:
1. Section 3, TERM, shall be amended to extend the termination date from June 30,
2004 to June 30, 2005.
IN WITNESS WHEREOF, the parties hereto have executed this First Amendment to
Consultant Agreement on the date and year first written above.
APPROVED AS TO FORM:
SEPH W. FLETCHE
City Attorney
CITY OF SANTA
J ES G. ROSS
xecutive Director
Public Works Agency
AG°ORD,.
CERTIFICATE OF LIABILITY
INSURANCE CSR ,TR DATE(MM /DDIVY)
OUCH -1 03/16/04
PRODUCER
LTR
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
POLICY NUMBER
P L E IV
DATE MM /DDIYY
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
The Dougherty
Company, Inc.
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
P.O. Box 7277
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Long Beach CA
90807
A
Phone:562- 424
-1621 Fax:562- 490 -0432
INSURERS AFFORDING COVERAGE
INSURED
I_ - O/
J
INSURER A. Hartford Insurance Company
INSURER B .
a(Wl� ^ �/�
Touch Vision Inc. /U �3 / (� g
11095 Knott Avenue'
Cypress CA 90630
INSURER C.
INSURER D.
INSURER E:
MED EXP (Any one person)
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
LTR
TYPE OF INSURANCE
POLICY NUMBER
P L E IV
DATE MM /DDIYY
P PIRATI N
DATE MM /DDIYY
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
$1,000,000
A
X COMMERCIAL GENERAL LIABILITY
72 SBA KF4568
01/10/04
01/10/05
FIRE DAMAGE (An, onefir.)
$300,000
CLAIMS MADE LX OCCUR
MED EXP (Any one person)
$ 10,000
PERSONAL B ADV INJURY
$1,000,000
GENERAL AGGREGATE
$2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER
PRODUCTS - COMP /OP AGG
$2,000,000
X I POLICY PRO LOC
JECT
AUTOMOBILE
LIABILITY
A
ANY AUTO
72 SBA KF4568
01/10/04
01/10/05
COMBINED SINGLE LIMIT
(Ea accidem)
$11000,000
ALL OWNED AUTOS
SCHEDULED AUTOS
BODILY INJURY
(Per person)
$
HIRED AUTOS
NON -OWNED AUTOS
X
X
BODILY INJURY
(Per accident)
$
PROPERTY DAMAGE
(Per accident)
$
L.
GARAGE
LIABILITY
AUTO ONLY - EA ACCIDENT
$
OTHER THAN EA ACC
$
ANY AUTO
$
AUTO ONLY AGG
•
EXCESS LIABILITY
X OCCUR CLAIMS MADE
72 SBA KF4568
01/10/04
01/10/05
EACH OCCURRENCE
$ 2,000,000
AGGREGATE
$2,000,000
$
DEDUCTIBLE
hX
RETENTION $ 10,00
$
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
- -
TORY LIMITS ER
E.L. EACH ACCIDENT
_
$
E.L. DISEASE - EA EMPLOYEE
$
E. L. DISEASE - POLICY LIMIT
$
OTHER
A
Hired Auto
SBA KF4568
F72
01/10/04
01 /10 /05
Died $500 50,000
Physical Damage
DESCRIPTION OF OPERATIONS /LOCATIONSNEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS
10 days notice of cancellation for nonpayment of premium. Additional insured
endorsement attached.
SANTAAN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL £NBEAY6Rid MAIL 30 DAYS WRITTEN
City of Santa Ana NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. ° - FAII:wRE TO 88 69 61 ALL
Public Works Agency
20 Civic Center Plaza, M -43
P O Box 1988 REPRESENSFIlrTiliES.
Santa Ana CA 92702 AUTHORIZED REPRESENTATIV
TIn IJ IORR
d�
POLICY NUMBER: 72 SBA KF4568 COMMERCIAL GENERAL LIABILITY
THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED - OWNERS, LESSEES OR
CONTRACTORS (FORM B)
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART.
SCHEDULE
Name of Person or Organization:
City of Santa Ana
(If no entry appears above, information required to complete this endorsement will be shown in
the Declarations as applicable to this endorsement.)
WHO IS AN INSURED (Section II) is amended to include as an insured the person or
organization shown in the Schedule, but only with respect to liability arising out of "your work' for
that insured by or for you.
CG20 10 11 85 Copyright Insurance Services Office, Inc., 1984